Sever’s Disease

If your child is active in sports and begins to complain about heel pain, they may be dealing with a common condition known as Sever’s Disease (also called calcaneal apophysitis). This condition typically affects children between the ages of 8 and 15, especially during growth spurts. Sever’s Disease is one of the most frequent causes of heel pain in kids, particularly those who play sports that involve running and jumping.

Symptoms and Impact

Typical symptoms include heel pain, tenderness, swelling, and limping—especially after physical activity. Left untreated, the discomfort can worsen, potentially sidelining your child from their favorite activities or sports.

Why Early Treatment Matters

Prompt podiatric care can prevent the progression of pain and help your child return to an active lifestyle faster. At Foot and Ankle Associates of Greater Pittsburgh, we provide compassionate, personalized care to relieve pain and support your child’s healthy growth.

What is Sever’s Disease?

Definition and Causes

Sever’s Disease is an overuse injury that occurs when the growth plate in the heel becomes inflamed due to repeated stress. This area, known as the calcaneal apophysis, is where the Achilles tendon attaches to the heel bone. In growing children, this area is particularly vulnerable to inflammation.

Common Causes and Risk Factors

• Participation in high-impact sports (soccer, basketball, gymnastics, etc.)
• Rapid growth spurts during puberty
• Wearing unsupportive footwear
• Tight calf muscles or Achilles tendons

How It Differs from Adult Heel Pain

Unlike adult heel conditions such as plantar fasciitis, Sever’s Disease specifically affects the growth plate, making it a pediatric-only condition. Learn more about plantar fasciitis if you’re exploring heel pain causes in adults.

Recognizing Symptoms of Sever’s Disease

Hallmark Symptoms

• Pain or tenderness in one or both heels
• Swelling and redness in the heel area
• Limping or walking on toes to avoid heel pressure
• Pain that worsens after sports or physical activity

Assessing the Severity

Symptoms can range from mild discomfort to severe pain that limits walking or athletic participation. If your child avoids weight-bearing or struggles to keep up with peers, it may be time to see our expert podiatrists.

When to Seek Medical Care

Don’t wait for the pain to resolve on its own. If symptoms persist for more than a week or worsen, schedule an appointment with our experienced team for a professional evaluation.

Diagnosing Sever’s Disease

Comprehensive Physical Exam

Diagnosis typically involves a thorough examination of the foot and ankle. We assess for tenderness, range of motion, and gait abnormalities to identify inflammation near the growth plate.

Imaging (When Necessary)

X-rays or MRIs are not always needed but may be ordered to rule out other causes of heel pain, like stress fractures or more serious injuries.

Considering Other Diagnoses

Several conditions can mimic Sever’s Disease, such as Achilles tendinitis, plantar fasciitis, or stress fractures.

Why Choose Foot and Ankle Associates of Greater Pittsburgh?

Specialized Pediatric Foot Care

Our podiatrists are experienced in diagnosing and treating children’s foot conditions, including Sever’s Disease. We understand how to care for growing feet and provide customized treatment plans tailored to each child’s needs.

Conservative, Patient-Centered Care

Whenever possible, we use non-invasive and conservative methods to relieve pain and restore function—keeping your child safe, comfortable, and active.

Schedule an Appointment Today

If your child is struggling with heel pain, don’t wait. Contact us today and get an early treatment that can make all the difference in their recovery and well-being.